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GERICARE LTD NPI 1295923993


NPI Information

NPI: 1295923993
Provider Name: GERICARE, LTD
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1600 W DEMPSTER ST
SUITE 120
PARK RIDGE, IL
ZIP 60068
Phone: (847) 299-7888
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GERICARE, LTD is a podiatrist in Park Ridge, IL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. GERICARE, LTD NPI is 1295923993. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1600 W DEMPSTER ST
SUITE 120
PARK RIDGE, IL
ZIP 60068-109
Phone: (847) 299-7888
Fax: (847) 299-7844

The provider's authorized official is Myra Dionisio-buniao .
The authorized official title is Manager and has the following contact phone number (847) 299-7888.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 10/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U81137MEDICARE UPINILLINOIS
2203786MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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